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Organization
BON SECOURS MARYVIEW NURSING CARE CENTER LLC
Active
Organization
BON SECOURS MARYVIEW NURSING CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RALSTON (SYSTEM DIRECTOR)
(419) 996-5119
Entity
Organization
Contact information
Practice address
4775 BRIDGE RD, SUFFOLK, VA 23435-2045
(757) 686-0488
(757) 686-8211
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5573
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH2511
VA
314000000X
Skilled Nursing Facility
Primary
NH2511
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4952065
—
VA
Enumeration date
07/30/2006
Last updated
10/22/2020
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